Active NPI
Rafael F Carrales, D.D.S.
- Dentist
- Edinburg, TX
National Provider Identifier
1003258005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28917
- Practice address
- 1116 S 10TH Ave
Edinburg, TX 78539-5514 - Phone
- (956) 219-8158
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28917 | TX | Primary |
Addresses
Primary practice location
1116 S 10TH Ave
Edinburg, TX 78539-5514
Mailing address
1021 Susan Dr
Edinburg, TX 78539-7003
Phone (956) 219-8158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28917 | TX | MD | Dentist |
Networks
- TX HMO D-SNP
- NM HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1003258005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 SUSAN DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397003",
"telephone_number": "956-219-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 S 10TH AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395514",
"telephone_number": "956-219-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRALES",
"first_name": "RAFAEL",
"middle_name": "F",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.